Concord Recovery Center | |
601 S Concord St Ste 108 Knoxville TN 37919-3339 | |
(865) 985-0371 | |
(865) 985-0649 |
Full Name | Concord Recovery Center |
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Speciality | Internal Medicine |
Location | 601 S Concord St Ste 108, Knoxville, Tennessee |
Authorized Official Name and Position | Crissy L Shank (BILLING) |
Authorized Official Contact | 9317615732 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Concord Recovery Center 601 S Concord St Ste 108 Knoxville TN 37919-3339 Ph: (865) 985-0371 | Concord Recovery Center 601 S Concord St Ste 108 Knoxville TN 37919-3339 Ph: (865) 985-0371 |
NPI Number | 1386282036 |
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Provider Enumeration Date | 12/12/2019 |
Last Update Date | 05/25/2021 |
Medicare PECOS PAC ID | 1254747348 |
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Medicare Enrollment ID | O20210316001391 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386282036 | NPI | - | NPPES |
Provider Name | Guy D Clark |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235160789 PECOS PAC ID: 7517909179 Enrollment ID: I20111121000621 |
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